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    Academy Express

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    Academy Express

    VIDEOS

    Interview: Dr. Michael Chiang discusses the


    importance of diversity, equity and inclusion in
    ophthalmology

    1-Minute Video: Dr. Ajay Kuriyan repairs a


    tractional retinal detachment using
    viscodissection

    JOURNAL STUDIES

    Autologous retinal transplantation yields good anatomic, functional


    outcomes for macular holes
    A new retrospective study reports the outcomes of autologous retinal
    transplantation for repair of primary or refractory macular holes, or macular holes
    combined with rhegmatogenous retinal detachment. The study included 130
    surgeries that were performed by 33 surgeons worldwide. The procedure closed
    89% of macular holes and 95% of macular holes with retinal detachment. After
    surgery, 43% of eyes gained 3 or more lines in visual acuity and 29% gained 5 or
    more lines. Reconstruction of the ellipsoid zone band and alignment of
    neurosensory layers on OCT were tied to better final visual acuity. Rates of
    complication were low. Ophthalmology, May 2021

    Poor diabetes control does not significantly influence glaucoma


    progression
    This retrospective cohort study examined the association between diabetes control
    and glaucoma progression in 222 patients with type 2 diabetes and primary open-
    angle glaucoma. During a mean follow-up of 7 years, mean, peak and fluctuations
    in 2 glycated hemoglobin levels—proxies for diabetes control—were not
    significantly linked to visual field loss and retinal nerve fiber layer (RNFL) thinning.
    In addition, metformin use was not significantly tied to slower rates of visual field
    or global RNFL changes. These findings suggest that poor diabetes control does not
    significantly influence glaucoma progression. Ophthalmology Glaucoma, March/
    April 2021

    New diagnostic test for congenital dyschromatopsia shows promise


    Preliminary findings suggest the Color Vision Evaluation Test (CVET) is a rapid,
    reliable and reproducible test for diagnosing congenital dyschromatopsia. In a
    study of 155 children, the CVET had better reproducibility than the Farnsworth 15
    Hue standard test (100% vs. 88%), with a higher mean sensitivity (97% vs. 76%)
    and specificity (97% vs. 62%). Although CVET took longer to evaluate individuals
    with dyschromatopsia, most children preferred it, possibly due to its playful design.
    The CVET may allow for qualitative and quantitative assessment of all types of
    congenital dyschromatopsia and warrants further evaluation, the authors conclude.
    American Journal of Ophthalmology, March 2021

    Benign prostate hyperplasia is tied to meibomian gland loss and tear film
    instability
    Investigators assessed the relationship between benign prostate hyperplasia (BPH)
    and meibomian gland dysfunction. Compared with 46 control subjects, the 44 men
    in the study group had a higher meiboscore (4.5 vs. 1.8), shorter breakup time of
    tear film (3.6 vs. 5.6 seconds) and smaller Schirmer test value (9.8 vs. 13.3 mm).
    However, the morphological changes in the BPH group were not accompanied by
    ocular symptoms or lid margin abnormalities. The authors conclude BPH is
    associated with meibomian gland loss and tear film instability. Cornea, April 2021

    Extraocular muscle biopsy should be considered for atypical presentation


    of orbital myositis
    This paper presents the first methodological reference for the expected
    histopathologic findings in extraocular muscle biopsy samples of idiopathic orbital
    myositis (IOM). Among 9 patients with IOM, the most common indications for
    muscle biopsy were high suspicion for malignancy or nonresolving orbital disease
    with inadequate response to corticosteroids. The histopathologic features of the
    involved muscles in IOM resembled those seen in idiopathic orbital inflammation
    and differed from those seen in common differential diagnoses. The authors
    suggest that extraocular muscle biopsy should be seriously considered if orbital
    myositis presentation is atypical. Ophthalmology, April 2021

    READ

    Editors’ Choice: Dr. Rohit Adyanthaya discusses the use of


    proparacaine drops as an ocular anesthetic for intravitreal
    injections

    DISCUSS

    Diagnose This: Focal narrowing of the angle at 5 o'clock position

    Share your tips for managing new glaucoma patients

    ACADEMY NEWS

    FDA adds warning to package for ophthalmic drop for ptosis (PDF)
    The ophthalmic solution of oxymetazoline hydrochloride (Upneeq) will soon have a
    new package insert explaining the potentially serious neurological and orbital
    conditions associated with ptosis. The Academy, the American Society of
    Ophthalmic Plastic and Reconstructive Surgery and the North American Neuro-
    Ophthalmology Society urged the FDA to add the new warning in response to
    physician concerns.

    Tune in for the next pediatric ophthalmology virtual journal club


    Join Drs. Peter Campbell, Darius Moshfegi and Michael Wan on May 20 at 8:30 p.m.
    ET for the latest AAO/AAPOS journal club. The authors will discuss AI in
    telemedicine screening for ROP, racial and socioeconomic disparities in
    retinoblastoma enucleation and indications for workup in pediatric Horner
    syndrome.

    Pay tribute to 2021 Orbital Gala honoree David Noonan


    Join your colleagues for the 18th annual Orbital Gala and celebrate former
    Academy deputy executive vice president Mr. David Noonan. Make a tribute gift
    and include a message in the Orbital Gala booklet.

    Find the right balance to beat burnout


    Take a deep breath with Paul Sternberg, MD, at the Ophthalmology Business
    Summit closing session on Saturday, May 22. Learn how to mitigate burnout
    without compromising the patient experience. Registration closes May 20, so sign
    up today.

    Pinpoint knowledge gaps with vetted self-assessment tool


    Quickly test your clinical knowledge and decision-making skills with more than
    3,900 high-yield questions while earning self-assessment CME credits. With the
    online BCSC Self-Assessment Program, you can brush up on your knowledge and
    increase retention with BCSC excerpts. Subscribe today.

    Find Savvy Coder articles quickly and easily


    EyeNet’s Savvy Coder articles bring you the latest ophthalmology-specific coding
    news and guidance from the Academy’s coding experts. To make them easier to
    find, we have compiled links to articles published since September 2019. Bookmark
    aao.org/savvy-coder today.

    Editor-in-Chief
    David W. Parke II, MD

    Chief Medical Editor


    Dianna L. Seldomridge, MD, MBA

    AAO Advisory Panel


    Terry L. Forrest, MD
    Tineke Chan, MD
    James C. Tsai, MD
    Sunita Radhakrishnan, MD

    Editors
    Kanaga Rajan, PhD

    Communications Specialist
    Erik Cufino

    The American Academy of Ophthalmology provides the items appearing in the Academy Express
    as a service to members. The articles and studies come from news reports and peer-reviewed
    journals, and are not the product, opinion or position of the Academy unless explicitly stated to
    be so. The Academy does not endorse products, companies or organizations. Any advertisers
    who purchase banners or otherwise support the Academy and this newsletter have no influence
    on the editorial content or presentation and any such advertisements are not implied or express
    endorsements of any product, service or company. The Academy disclaims all liability. This
    electronic newsletter is sent to Academy members on a weekly basis.
    Questions? Comments? Email Academy staff at news@aao.org.

    Medical Professionals Public and Patients

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